Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $108.07 / $122.93 / $211.96	Facility	26	$108.07	$122.93	$211.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.60 / $140.12 / $171.65	Professional		$91.60	$140.12	$171.65
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $31.73 / $50.06 / $60.15	Professional	TC	$31.73	$50.06	$60.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.33 / $263.33 / $263.33	Professional		$263.33	$263.33	$263.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.87 / $203.11 / $315.00	Professional		$125.87	$203.11	$315.00
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $44.76 / $73.80 / $151.00	Professional	TC	$44.76	$73.80	$151.00
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $219.19 / $219.19 / $219.19	Facility	26	$219.19	$219.19	$219.19
Medica Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $209.43 / $1,161.00	Professional		$152.66	$209.43	$1,161.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $51.97 / $79.00 / $585.04	Professional	TC	$51.97	$79.00	$585.04
United Facility/Professional Professional Modifier Low / Median / High Price $147.11 / $174.16 / $289.05	Professional		$147.11	$174.16	$289.05
United Facility/Professional Professional Modifier TC Low / Median / High Price $49.37 / $74.23 / $107.31	Professional	TC	$49.37	$74.23	$107.31